ARCHIVE PAGE - new page here
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Documents and reports
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| CD Forum | Report and presentations from the Clinical Directors Forum March 2007. |
| The future of Renal Medicine | The changing face of renal medicine in the UK - report of a RA/RCP working party. Download as pdf file (320kb). March 2007 |
| CKD consensus | A Renal Association and RCP Edinburgh Consensus Conference in February 2007 produced a Consensus Statement and Recommendations on Management of Early CKD. Click to read these. |
| MRSA | Renal Healthcare Associated Infection toolkit - available from www.dh.gov.uk/reducingmrsa from January 8th. |
| Transplant standards | Suggested standards for a Transplant Service from the West Midlands Renal Network. Colleagues may wish see this and use or adapt it for locally. Download pdf file (450kb). |
| Patient transport | The Cheshire and Merseyside report with recommendations on patient transport is available from their website (October 2006). This is the first of the two Action Learning Sets on patient transport commissioned by the Department of Health. The second will be from County Durham and Tees Valley. |
| NICE on renal anaemia | NICE guidance on renal anaemia published (October 2006) - download it from their website (NICE renal anaemia page). It broadly supports current guidelines. |
| Vascular access report | Report of a Joint Working Party on Vascular Access (pdf file) from the Renal Association, the Vascular Society, and the British Society of Interventional Radiology. |
| Committee Report | Report from Kevin Harris September 2006 (pdf file) covering Independent Treatment Centres (see 2 paragraphs down), Payment by Results, and the NICE review of CKD guidelines. |
| National audit proposal - feedback please | National Renal Audit and Patient Outcomes Scope proposals. Download the proposed scoping document (Word, 260kb). Comments requested by 27th September (!) to andrew.scott@cspi-associates.com |
| Independent sector dialysis provision | The Department of Health wrote in June to strategic health authorities requesting expressions of interest in expanding the programme of independent treatment centres for haemodialysis, which is being trialled in the north of England. This raised several concerns. Read answers to questions arising from this letter (pdf) from the DH. |
| Renal NSF for Children | NSF: Working for Children and Young People Supplement to the Renal NSF parts 1 and 2, published June 2006. Download the Renal NSF for children from the DoH website. See other NSF links below |
| Renal IT 2006 | Survey of existing IT functionalities, report on the work of the Renal Information Exchange Group, and Do Once and Share project report, from RIXG page |
| DGH nephrology | The Society for DGH Nephrologists 2005/6 report from Dr Paul Rylance, April 2006 (pdf file 110kb). |
| 2006 committee report | Summary of Clinical Service Committee activities in 2005/6 April 2006. |
| Resources to support eGFR reporting | The eGFR Resources page has been updated to include information presented at the March Clinical Directors meeting, as well as the mailshot to GPs, laboratories and others concerning implementation of eGFR reporting in April 2006. |
| Vascular access survey | A survey to review the priority area of Vascular Access was undertaken by the Renal Registry with Kidney Research UK in 2006. Summary of results (48kb pdf file). Read press release about the vascular access survey from the KRUK website. You can also download the full results from the first part of the survey (480kb pdf file), in the form of a chapter of the next annual report from the Renal Registry. [March 2006] |
| CD Forum | Report and presentations from the Clinical Directors Forum March 2006. |
| Renal points in 2006 GMS contract | Chronic kidney disease has been included in the next GMS contract for GPs. 27 out of a total of about 550 clinical points can be awarded for CKD identification/monitoring. This looks like being a powerful way of ensuring that CKD is recognised and appropriate initial management undertaken. Read details of CKD points (pdf file 200kb); read full list of 2006 revisions (pdf file 300kb) and full listing of 2005 QOF (pdf file 40kb). Note that in addition to the CKD points, other revisions include blood pressure monitoring/control under 5 different CHD, stroke, diabetes and blood pressure headings, estimation/treatment of microalbuminuria in 2 diabetic headings, use of ACE inhibitors in heart failure in one, and measuring of eGFR in diabetics and patients on Lithium. You can read the DoH page on GMS contract, but best of all see the report of outcomes by region down to Health Board/PCT (and eventually, by practice), on the www.gpcontract.co.uk website. In the maps section the data can be accessed from Google maps. |
| Read codes for CKD | These are the V3 (XaL..) and 4B/V2 (1Z..) Read codes for CKD: CKD stage 1 = XaLHG = 1Z10 CKD stage 2 = XaLHH = 1Z11 CKD stage 3 = XaLHI = 1Z12 CKD stage 4 = XaLHJ = 1Z13 CKD stage 5 = XaLHK = 1Z14 eGFR is Read code 451E. |
| National audit and outcomes project | The Renal Association in partnership with the British Transplant Society, British Renal Society, Clinical Effectiveness unit of the Royal College of Physicians and CSPI Associates have been successful in bidding for the scoping exercise to inform the Healthcare Commission Renal Audits which are currently being developed. Read the proposal (pdf file, 244kb). The intention is to build on the excellent foundation of the Renal Registry. Please send comment and suggestions to the project manager Andrew Scott, andrew.scott@cspi-associates.com, or the lead clinician Donal O'Donoghue, Co-Chair of the Renal Advisory Group. Regular updates will be provided via the monthly Association e-news. |
| Living transplant guidelines | Guidelines on living donor kidney transplantation - from the Renal Assoc and BTS. (Large pdf file, 2.4Mb for 100 pages). |
| eGFR reporting | Resources to support eGFR reporting - summary of a meeting held in October 2005 with links and presentations. See also information deriving from the UK CKD guidelines; an eGFR calculator on this site, and a link www.renal.org/eGFR suitable for printing on blood test result forms to provide information about eGFR. |
| Modernisation | Modernising Services for Renal Patients was published in July 2005. Each of the two NHS Modernisation Programme sites (Birmingham and Exeter) has developed methods and tools, drawn on improvements in science and technology and prioritised their key areas for action to improve the quality of care delivered. These resources can be adapted for use in other renal services. More info about the project (NHS Modernisation Agency website). Link to the full document from the top right of that page. |
| NSF implementation | Monitoring implementation of the National Service Framework (NSF, see below) - Criteria for Success (pdf file, 430kb) contains criteria for undertaking this. It has been developed by professionals representing all branches of renal care. The final draft was released in June 2005 following wide consultation on the previous draft document. |
| CD Forum report | Report from the Clinical Directors Forum January 2005 (52kb pdf file) |
| Commisioning | The Commissioning Toolkit has been developed to support commissioners in specifying renal service requirements in line with the NSF. It has been developed by commissioners, for commissioners, based on best practice. The link is to the document on the DoH website. |
| CD Forum report | Report from Clinical Directors' Forum January 2004 (pdf file) |
| Renal NSF | Renal NSF published by DoH in two parts in January 2004 and February 2005 (Part 1 on dialysis and transplantation, and Part 2 on chronic kidney disease, acute renal failure, end of life care) - read on the DoH website. There is also an almost unfindable but useful DoH Renal Page for links to the Renal Services Implementation Strategy (also published January 2004), written to support implementation of the NSF, and other 'NSF-related publications'. Some other documents here are variably usefully introduced and explained. There is a useful account of the IT information strategy at e-health-insider.com
Renal Association submission to the National Service Framework, April 2002 - as a web page
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| Survey of dialysis provision | NKRF Survey of renal services for dialysis, December 2002 - read the Executive Summary as a web page
Note that both documents received minor amendments in early April 2003 as a result of some late changes to data submitted. |
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